High on-treatment platelet reactivity in patients with chronic renal failure using acetylsalicylic acid
Horyniecki, M.; Łącka-Gaździk, B.; Dworaczek, W.; Śnit, M.ła.; Łabuz-Roszak, B.
Wiadomosci Lekarskie 70(6 Part 1): 1102-1107
2017
ISSN/ISBN: 0043-5147 PMID: 29478986 Document Number: 692744
Cardiovascular diseases (CVD) are the most common cause of mortality in the world. Acetylsalicylic acid (ASA) is a widely used medicine in primary and secondary prevention of cardiovascular diseases. About 1-60% patients taking aspirin have high platelet reactivity (HOPR) despite aspirin treatment. HOPR is significantly more frequent in patients with chronic kidney disease (CKD) and it increases the risk of adverse cardiovascular events in these patients. The cause of HOPR in patients with CKD may be oxidative stress and inflammation. To the risk factors belong diabetes, female sex or decreased HDL cholesterol level.